Binaural Interference: Quo Vadis?

2017 ◽  
Vol 28 (04) ◽  
pp. 266-270 ◽  
Author(s):  
James Jerger ◽  
Shlomo Silman ◽  
Carol Silverman ◽  
Michele Emmer
Keyword(s):  
Case Report ◽  
Speech Recognition ◽  
Elderly Population ◽  
Case Reports ◽  
The Elderly ◽  
Individual Case ◽  
Expected Outcome ◽  
Statistical Approaches ◽  
Quo Vadis ◽  
Better Than

The reality of the phenomenon of binaural interference with speech recognition has been debated for two decades. Research has taken one of two avenues; group studies or case reports. In group studies, a sample of the elderly population is tested on speech recognition under three conditions; binaural, monaural right and monaural left. The aim is to determine the percent of the sample in which the expected outcome (binaural score-better-than-either-monaural score) is reversed (i.e., one of the monaural scores is better than the binaural score). This outcome has been commonly used to define binaural interference. The object of group studies is to answer the “how many” question, what is the prevalence of binaural interference in the sample.In case reports the binaural interference conclusion suggested by the speech recognition tests is not accepted until it has been corroborated by other independent diagnostic audiological measures. The aim is to attempt to determine the basis for the findings, to answer the “why” question.This article is at once tutorial, editorial and a case report. We argue that it is time to accept the reality of the phenomenon of binaural interference, to eschew group statistical approaches in search of an answer to the “how many” question, and to focus on individual case reports in search of an answer to the “why” question.

scholarly journals Overflow diarrhea and acute kidney injury as a presentation of fecal impaction that led to obstructive uropathy

2021 ◽  
Vol 11 (3) ◽  
pp. 71-74
Author(s):  
Dhara Dave
Keyword(s):  
Acute Kidney Injury ◽  
Case Report ◽  
Elderly Population ◽  
Early Recognition ◽  
Case Reports ◽  
Obstructive Uropathy ◽  
Kidney Injury ◽  
The Elderly ◽  
Fecal Impaction ◽  
Elderly Male

Fecal impaction is a known complication of chronic constipation and is particularly bothersome in the elderly population. Common complications of fecal impaction include hemorrhoids, megacolon, overflow diarrhea, and obstructive uropathy among others. Many case reports have been reported with fecal impaction and obstructive uropathy though none have reported overflow diarrhea as a presentation. In this case report, we present an elderly male who came in with overflow diarrhea and acute kidney injury that resulted from fecal impaction that caused obstructive uropathy. He was managed with catharsis and early recognition of the condition led to a good outcome. Recognition and management of fecal impaction can be challenging especially in patients who present with diarrhea. We, therefore, outline and discuss the importance of recognition of overflow diarrhea as a complication of fecal impaction and the management of such patients.

scholarly journals CASE REPORT: UNCONTROLLED HYPERTENSION CONTRIBUTES TO WORSENING OF PRESBYCUS SYMPTOMS IN THE ELDERLY

2020 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Faradila Budi Saputri ◽  
Azizah Amimathul Firdha ◽  
Safira Rahma ◽  
Rieza Rizqy Alda ◽  
Syahwina Inayasari ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Hearing Loss ◽  
Case Report ◽  
Hearing Aids ◽  
Social Life ◽  
Elderly Population ◽  
The Elderly ◽  
Uncontrolled Hypertension ◽  
Age Related

Presbycusis is a disease that can befall the elderly, caused by a multifactorial process that should be allowed to disrupt communication and social life and cause mental disorders. According to WHO the proportion of the elderly population rises rapidly which is estimated in 2025, there are about 1,2 billion elderly people with a risk of presbycusis. Mr.S was 84 years old, married and had 2 children, complained of hearing loss since 10 years ago on the patient's left ear. The decline in hearing occurred gradually, giving the last 4 years after his wife's death. Patients was taken to Otorhinolaryngologist and expressed age-related hearing impairment and was advised to use hearing aids. Patients are not routinely using hearing aids. In addition, patients have hypertension and heart disease. Patients consumed Captopril 2x1 tablets, Fundifar 2x1, Furosemide 1x40 mg and Fargoxin 1x0.25 mg. Patients do not routinely consumed cardiac medicine and used hearing aids. From the results of heteroanamnesis, physical examination, and audiogram examination conducted in Mr.S patients, it can be concluded that Mr.S suffers from presbycusis with hypertensive and congestive heart failure. Mr.S was advised to routinely have their hearing check to Otorhinolaryngologist the as an evaluation and routine control to Cardiologist. 

Conversion Disorder in the Elderly Population: Case Report

2016 ◽  
Vol 5 (2) ◽  
pp. 1-4
Author(s):  
Sevda Korkmaz ◽  
Caner Demir ◽  
Sadullah Sağlam ◽  
Ömer Özer
Keyword(s):  
Case Report ◽  
Elderly Population ◽  
Conversion Disorder ◽  
The Elderly

Meckelʼs Diverticulum in the Elderly Population: A Case Report

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S1403
Author(s):  
Diego Hidalgo ◽  
Laith Al momani ◽  
Gregory Champney
Keyword(s):  
Case Report ◽  
Elderly Population ◽  
The Elderly

SCAPHOID FRACTURE IN THE ELDERLY: A REVIEW

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 295-298 ◽  
Author(s):  
Abdulrahman Alsawadi ◽  
Jeremy Stanton
Keyword(s):  
Elderly Population ◽  
Case Reports ◽  
Scaphoid Fracture ◽  
Trauma Surgery ◽  
Case Series ◽  
Population Group ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Scaphoid Fractures ◽  
The Subject

Although scaphoid fractures are relatively common encounters in orthopaedic and trauma surgery, the demographics of these injuries are not well studied. The classical teaching in the subject limits scaphoid fractures in the age between ten and 60 years (or 70 years in other sources). The incidence or the prevalence of scaphoid fractures in the elderly population is not focused on and not studied or explored. We reviewed the literature for any available epidemiological studies of scaphoid fractures. We also sought the available data of scaphoid fractures in the elderly population in case series and case reports which have relevant data on the subject. Four epidemiological studies, two case series, and one case report are included. We discuss the available data in these articles and conclude that scaphoid fractures in the elderly, although rare, have been reported. However, there are not enough epidemiological studies to draw figures. Ignorance of this proportion of population could result in missed fractures in the elderly. Therefore, we encourage researchers to carry out epidemiological studies of scaphoid fractures with more focus on this population group.

scholarly journals Olanzapine-induced leucopaenia and thrombocytopaenia in an elderly patient: a case report and review of the evidence

2018 ◽  
Vol 31 (2) ◽  
pp. e000013 ◽  
Author(s):  
Yogender Kumar Malik ◽  
Swapnajeet Sahoo ◽  
Ajit Avasthi
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Side Effects ◽  
Case Reports ◽  
The Elderly ◽  
Elderly Individual ◽  
Psychotic Symptoms ◽  
Elderly Individuals ◽  
Second Generation Antipsychotics ◽  
Life Threatening

Haematological adverse effects of antipsychotics are rare but life threatening. Existing literature is limited to case reports, which are mostly reported on second generation antipsychotics (clozapine, olanzapine, risperidone, quetiapine). Elderly individuals are at risk of developing side effects with any psychotropics. Olanzapine is commonly used for the management of psychotic symptoms as well as for the management of behavioural and psychological problems with dementia in the elderly. In this case report, we report thrombocytopaenia and leucopaenia in an elderly individual with schizophrenia which developed after initiation of olanzapine and reverted back after stoppage of the drug. This case report highlights that the elderly are susceptible to develop haematological side effects with olanzapine and hence monitoring may be essential.

scholarly journals Angled Screwdriver Solutions and Low-Profile Attachments in Full Arch Rehabilitation with Divergent Implants

2021 ◽  
Vol 11 (3) ◽  
pp. 1122
Author(s):  
Roberto Scrascia ◽  
Marco Cicciù ◽  
Carlo Manco ◽  
Adele Miccoli ◽  
Gabriele Cervino
Keyword(s):  
Case Report ◽  
Elderly Population ◽  
Clinical Case ◽  
The Elderly ◽  
Work Team ◽  
Low Profile ◽  
Fixed Prosthesis ◽  
Over Time ◽  
Bridge System

Edentulism is one of the most significant problems given the increase in the elderly population. The aim of the present investigation is to evaluate a case report with angled screwdriver solutions and new kinds of low-profile attachments in full arch rehabilitation with divergent implants. In this clinical case we will analyze how low-profile abutments with angled screwdriver channel in the OT Bridge system (Rhein83, Bologna, Italy) can be a predictable solution over time to create a fixed prosthesis on disparallel implants with a digital structure (New Ancorvis, Bologna, Italy) for the satisfaction of the patient and of the work team.

scholarly journals Combination of venlafaxine and phentermine/topiramate induced psychosis: A case report

2018 ◽  
Vol 8 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Jaclyn Homola ◽  
Robin Hieber
Keyword(s):  
Case Report ◽  
Extended Release ◽  
Case Reports ◽  
Individual Case ◽  
Once Daily ◽  
Pubmed Search ◽  
Self Harm ◽  
Irritable Bowel ◽  
Mental Health Unit ◽  
The Brain

Abstract Background: Various publications have noted increases in dopamine, specifically in the mesolimbic region of the brain, to have a direct correlation to psychotic-like symptoms. Venlafaxine, a first-line medication for depression, inhibits the reuptake of both serotonin and norepinephrine. Additionally, venlafaxine weakly inhibits the reuptake of dopamine. Phentermine/topiramate (Qsymia®), specifically the phentermine component, functions by blocking the dopamine and norepinephrine transporter, similar to amphetamine. Case Report: A 40-year-old Hispanic woman was admitted to the inpatient mental health unit based on reports of delusional thinking and several attempts of self-harm. Past medical history was significant for major depressive disorder, posttraumatic stress disorder, anxiety, irritable bowel syndrome, and migraines. The patient was started on venlafaxine (75 mg extended-release by mouth once daily) for depression approximately 1 month prior to admission. Furthermore, the patient was restarted on a previously prescribed medication, oral phentermine/topiramate for weight loss, in combination with venlafaxine, approximately 1 week prior to the bizarre behavior. The patient denied any psychosis or changes in behavior when medications were taken individually prior to the combination. The patient was treated with lurasidone (40 mg by mouth daily) with resolution of psychosis. Discussion: A PubMed search revealed no current literature or case reports on psychosis induced by the combination of venlafaxine and phentermine/topiramate. Individual case reports of psychosis in patients on venlafaxine alone and the phentermine component of phentermine/topiramate alone have been reported.

25c-nbome: Case report and literature review

2017 ◽  
Vol 41 (S1) ◽  
pp. s874-s875
Author(s):  
M. Preve ◽  
S. Casigliani ◽  
L. Tognola ◽  
R. Traber ◽  
R.A. Colombo
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Case Reports ◽  
Kidney Injury ◽  
Drug Market ◽  
Individual Case ◽  
Future Research ◽  
The Internet ◽  
Future Research Directions ◽  
Competing Interest

IntroductionNovel psychoactive drugs (NPS) have rapidly increase in the last years in the drug market as a recreational use. A new group of toxic phenethylamine derivates named NBOMe of 2 C class present have emerged recently, are frequently bought using the internet and have similar effects to other hallucinogenic drugs; however, they may pose larger risks, due to the limited knowledge about them, their relatively low price and availability via the internet. The purpose of this report is to review the clinical evidence for the potential of abuse of NBOMe compounds. We propose a case report and literature review.MethodWe conducted a systematic review of the literature with the principal database (PubMed, Enbase, PsychInfo) and we present a case report.ResultsThe effects of 25C-NBOMe is characterized by hallucination, violent agitation, rhabdomyolysis and kydney injury.Discussion and conclusionEffects from 25C-NBOMe in our case report were similar to previous individual case reports in literature. The clinical features were also similar to effects from other analogues in the class (25I-NBOMe, 25B-NBOMe). In our case, violent agitation (signs of serotonergic stimulation), rhabdomyolysis and kidney injury were observed. Further research is warranted to replicate our clinical and qualitative observations and, in general, quantitative studies in large samples followed up over time are needed. Methodological limitations, clinical implications and suggestions for future research directions are considered.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Primary Malignant Parotid Lymphoma: Two Case Reports with Different Disease Progression and Treatment

2011 ◽  
Vol 26 (1) ◽  
pp. 31-33
Author(s):  
Noor Dina Hashim ◽  
Mohd Razif Mohamad Yunus ◽  
Asma Abdullah ◽  
Marina Mat Baki ◽  
Salina Husain ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Lymphoma ◽  
Conservative Management ◽  
Case Reports ◽  
Treatment Options ◽  
Individual Case ◽  
The Other ◽  
Superficial Parotidectomy ◽  
Design Case ◽  
Management Approaches

  Objective: To describe our experience in managing two cases of primary malignant parotid lymphoma.   Methods: Design: Case Report Setting: Tertiary University Referral Center Patients: Two   Results: Both patients underwent superficial parotidectomy. Despite recurrence in one, the disease was controlled with conservative management. However, the disease was more aggressive in the other, requiring additional chemo-radiotherapy.   Conclusion: Malignant parotid lymphoma may present with varying stages, grades and clinical courses, requiring different management approaches. The treatment options are based on grading and staging at diagnosis and should be implemented depending on individual case.   Keywords: Parotid neoplasms, malignant lymphoma

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